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Cham : Springer International Publishing AG, 2022

1 online resource (288 pages)

ISBN 9783030926120 (electronic bk.)

ISBN 9783030926113

Human Perspectives in Health Sciences and Technology Ser. ; v.5

Print version: Bremer, Anne Precision Oncology and Cancer Biomarkers Cham : Springer International Publishing AG,c2022 ISBN 9783030926113

Discussion -- Why Have the Premises Remained Unchallenged? -- Cancer and Cancer Research: An Issue of More Than Tragic Choices? -- Alternative Imaginaries -- Lack of Nuance in the Field of Cancer and Cancer Research: Why? -- Conclusion -- References -- Cancer Currencies: Making and Marketing Resources in a First-in-Human Drug Trial in Denmark -- Introduction -- Cancer Currencies and Trial Qualities -- Unit One : A Research Business at the Heart of a Public Hospital -- Fast-Tracking Trialling at the Unit -- Competitive Enrolment -- Producing Good Care and Good Science Fast -- The Genomic Project: An Investment in Potentiality -- Research Bodies: High Patient Compliance -- Discussion -- References -- "Reconstruction of Trouble" -- Introduction: The Special Status of Breast Cancer in Society ---

A Case Study of How Breast Reconstruction Was Prioritised, and the Unintended Consequences This Had for Breast Cancer Patients and Other Patient Groups -- The Actors and Their Roles in the Prioritisation Game.

Discussion -- Why Have the Premises Remained Unchallenged? -- Cancer and Cancer Research: An Issue of More Than Tragic Choices? -- Alternative Imaginaries -- Lack of Nuance in the Field of Cancer and Cancer Research: Why? -- Conclusion -- References -- Cancer Currencies: Making and Marketing Resources in a First-in-Human Drug Trial in Denmark -- Introduction -- Cancer Currencies and Trial Qualities -- Unit One : A Research Business at the Heart of a Public Hospital -- Fast-Tracking Trialling at the Unit -- Competitive Enrolment -- Producing Good Care and Good Science Fast -- The Genomic Project: An Investment in Potentiality -- Research Bodies: High Patient Compliance -- Discussion -- References -- "Reconstruction of Trouble" -- Introduction: The Special Status of Breast Cancer in Society ---

Intro -- Preface: What Is Responsible Cancer Research? -- Anticipatory and Reflexive - The Importance of Sociotechnical Imaginaries -- Inclusive - The Relationship to the Public -- Responsive - Are There Any Roads from Criticism to Action? -- References -- Acknowledgements -- Contents -- Introduction -- References -- Introduction to the Imaginary of Precision Oncology -- Precision Medicine - Tradition, Evidence, Reason and Ambition -- Precision Oncology - Expectations and Realisations -- Precision Medicine and the Complexity of Biological Systems -- The Imaginary of Precision Medicine and Unintended Consequences -- References -- Precision Oncology in the News -- Introduction -- Framing Within the News Media -- Identifying Frames Within the Discourse on Priority-Setting and Cancer -- Precision Medicine as a Medical Revolution ---

Assessing the Cost-Effectiveness of Molecular Targeted Therapies and Immune Checkpoint Inhibitors -- Introduction -- Economic Evaluation of Targeted Therapies and Checkpoint Inhibitors.

Conclusions: The Biomarkers That Could Be Born -- The Biomarkers That Cannot Be Born: The Unsustainable Political Economy of Cancer Research.

HER2 Revisited: Reflections on the Future of Cancer Biomarker Research -- Introduction -- The HER2 Story -- Discovery and Basic Studies -- Biomarker Development -- Early Clinical Trials -- Revisiting the Story of HER2 -- How the HER2 Story Began: Oncogene Research Gathering Steam as a ’Bandwagon’.

Arrangements Specific to Decision Making Involving Oncology Medicines -- Conclusions -- References -- Real-World Data in Health Technology Assessment: Do We Know It Well Enough? -- Introduction: The Growing Importance of Data in Health Care -- Real-World Data and Big Data: Some Definitions -- Health Technology Assessment in the Era of Information Technology -- Opportunities Related to Using RWD in HTA -- Challenges of Using RWD in HTA -- What Is Next: Do We Want RDW in HTA Be the Cynosure of All Eyes? -- References -- Just Caring: Precision Health vs. Ethical Ambiguity: Can we Afford the Ethical and Economic Costs? -- Just Caring: Cancer, Targeted Therapies, and Cost Control -- Cancer: Finding the First Cell/Preventing Future Cells -- Trading off Identified Lives and Statistical Lives: Ethical Issues ---

Precision Oncology: Cartesian Dream or Nightmare? -- From Precision to Personalized Oncology: Biomarkers for Dignity? -- References -- Index.

Assessing the Cost-Effectiveness of Molecular Targeted Therapies and Immune Checkpoint Inhibitors -- Introduction -- Economic Evaluation of Targeted Therapies and Checkpoint Inhibitors.

Can We Just Abandon Metastatic Cancer Patients to Save Money? -- The Transition Challenge: Efficiency versus Compassion -- Whole Genome Sequencing: Another Precision Health Ethical Challenge -- Rational Democratic Deliberation: Not Precision Ethics But "Roughly Just" -- References -- Rationing of Personalised Cancer Drugs: Rethinking the Co-production of Evidence and Priority Setting Practices -- Introduction -- Personalised Cancer Care Increases the Health Gap -- Why Plan A Might Not Work and Why the Problem Is Connected to Biomarkers -- The Co-production Perspective as an Analytic Tool -- Sustainable Future Imaginaries for Cancer Drug Priority Setting -- References -- Filled with Desire, Perceive Molecules -- Prologue: The Desire to Help -- Acute Myeloid Leukaemia -- Filled with Desire, Find the Molecule -- AML Is a Name -- Empty of Desire, Perceive Mystery -- References ---

Conclusions: The Biomarkers That Could Be Born -- The Biomarkers That Cannot Be Born: The Unsustainable Political Economy of Cancer Research.

Crossing the Styx -- References -- Publication Bias in Precision Oncology and Cancer Biomarker Research -- Challenges and Possible Implications -- Introduction -- Evidence of Publication Bias in Medical Research -- Publication Bias in Precision Oncology and Cancer Biomarker Research -- The Impact of Publication Bias on the Validity of the Scientific Literature and Contribution to the Reproducibility Crisis -- Discussion: Publication Bias in Precision Oncology and Cancer Biomarker Research -- Implications and Reflections on the Deeper Roots of the Problem -- Implications for Patients, Decision-Making in Clinical Practice and Socio-economic Aspects -- Implications for Researchers and the Scientific Community -- Reflecting on the Roots of the Problem of Publication Bias -- Conclusion -- References ---

HER2 Revisited: Reflections on the Future of Cancer Biomarker Research -- Introduction -- The HER2 Story -- Discovery and Basic Studies -- Biomarker Development -- Early Clinical Trials -- Revisiting the Story of HER2 -- How the HER2 Story Began: Oncogene Research Gathering Steam as a ’Bandwagon’.

Intermission - The Dichotomy Between Illness and Disease at the Diagnosis Stage -- Anne - The Meaning of Relapse -- Jenny - Telling the Truth or Giving False Hope? -- Anne - Towards the End of Her Journey -- Intermission - The Dichotomy Between Illness and Disease at the Stage of Relapse -- Anne - Accepting the Inevitable -- The Future of Ovarian Cancer: Anne’s Story in 2040 -- Intermission - The Dichotomy Between Illness and Disease in an Era of Precision Medicine -- The Challenges of Communicating Illness, Disease and Health Between Patients and Clinicians -- Making Sense of and Finding Meaning Around Health, Illness and Disease -- The Meaning and Sense of Biomarkers - From a Patient Perspective -- Conclusion -- References ---

Arrangements Specific to Decision Making Involving Oncology Medicines -- Conclusions -- References -- Real-World Data in Health Technology Assessment: Do We Know It Well Enough? -- Introduction: The Growing Importance of Data in Health Care -- Real-World Data and Big Data: Some Definitions -- Health Technology Assessment in the Era of Information Technology -- Opportunities Related to Using RWD in HTA -- Challenges of Using RWD in HTA -- What Is Next: Do We Want RDW in HTA Be the Cynosure of All Eyes? -- References -- Just Caring: Precision Health vs. Ethical Ambiguity: Can we Afford the Ethical and Economic Costs? -- Just Caring: Cancer, Targeted Therapies, and Cost Control -- Cancer: Finding the First Cell/Preventing Future Cells -- Trading off Identified Lives and Statistical Lives: Ethical Issues ---

Debate, Decision-Making and Their Consequences -- References -- Lost in Translation -- A Short Introduction to Health, Illness and Disease in the Context of Ovarian Cancer -- Perspectives and Concepts of Disease and Illness in Health -- A Brief Introduction to Ovarian Cancer - "The Silent Killer" -- Biomarkers in Epithelial Ovarian Cancer -- The Journey and Trajectory of Ovarian Cancer -- Anne - The Suspicion of Something Being Wrong -- Intermission - Moving from Illness to Disease: Classifying Ovarian Cancer -- Anne - The Preliminary Diagnosis -- Anne - Her Experienced Symptoms Confirmed into a Diagnosis -- Jenny - The Gynaecological Oncologist Meeting Her Patient Anne -- Anne - Accepting the Decision of Surgery -- Jenny - Posing a Final Diagnosis -- Anne - The Start of Chemotherapy ---

Precision Oncology: Cartesian Dream or Nightmare? -- From Precision to Personalized Oncology: Biomarkers for Dignity? -- References -- Index.

Understanding the Social, Ethical and Economic Implications of the HER2/Oncogene Bandwagon -- Basic Science -- Diagnostic -- Treatment -- Where Are We Now? The Imaginary of Precision Oncology -- Conclusion -- References -- The Dynamics of the Labelling Game: An Essay On FLT3 Mutated Acute Myeloid Leukaemia -- References -- Crossing the Styx: If Precision Medicine Were to Become Exact Science -- Introduction -- Types of Models -- Understanding the Purpose of Formal Models -- Unification -- Prediction -- System Wide Models: Descriptive Models and Repositories of Information -- Explanation -- A Possible Tension Between the Requirements of Formal Models and the Need for Conceptual Flexibility and Ambiguity in Discovery -- The Modelling Process: The Challenges of Radical Openness and Contextuality -- A Drive Towards Computational Models ---

001896863

express

(Au-PeEL)EBL6942718

(MiAaPQ)EBC6942718

(OCoLC)1309289043